Provider Demographics
NPI:1265657571
Name:JONES, OLGA S (MD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:S
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:820 S CARRIER PKWY
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-1517
Mailing Address - Country:US
Mailing Address - Phone:972-262-1425
Mailing Address - Fax:972-262-4973
Practice Address - Street 1:820 S CARRIER PKWY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-1517
Practice Address - Country:US
Practice Address - Phone:972-262-1425
Practice Address - Fax:972-262-4973
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN7550207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DC733OtherBLUE CROSS
TX218266902Medicaid
TXTXB146327Medicare PIN